Hiring Now: Entry Level: Claims Associate  Workers Compensation
Position at a Glance:Company: WorkwarpCompensation: a competitive salaryStart Date: Immediate openings availablePosition: Entry Level: Claims Associate  Workers Compensation Med OnlyLocation: Remote  Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. ItÂs an opportunity to do something meaningful, each and every day. ItÂs having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youÂre someone who cares, thereÂs a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Associate  Workers Compensation Med Only (REMOTE)
PRIMARY PURPOSE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
 Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
 Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
 Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
 Communicates claim action/processing with claimant, client and appropriate medical contact.
 Ensures claim files are properly documented and claims coding is correct.
 May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
 Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
 Performs other duties as assigned.
 Supports the organizationÂs quality program(s).
QUALIFICATION
Education & Licensing
High school diploma or GED required. Licenses as required.
Experience
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Skills & Knowledge
 Excellent oral and written communication skills
 PC literate, including Microsoft Office products
 Analytical and interpretive skills
 Strong organizational skills
 Good interpersonal skills
 Ability to work in a team environment
 Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
#nodegreerequired
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If youÂre excited about this role but your experience doesnÂt align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply Job! We Encourage You to Apply!Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.
Apply Now
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if youÂre someone who cares, thereÂs a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Associate  Workers Compensation Med Only (REMOTE)
PRIMARY PURPOSE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
 Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
 Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
 Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
 Communicates claim action/processing with claimant, client and appropriate medical contact.
 Ensures claim files are properly documented and claims coding is correct.
 May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
 Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
 Performs other duties as assigned.
 Supports the organizationÂs quality program(s).
QUALIFICATION
Education & Licensing
High school diploma or GED required. Licenses as required.
Experience
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Skills & Knowledge
 Excellent oral and written communication skills
 PC literate, including Microsoft Office products
 Analytical and interpretive skills
 Strong organizational skills
 Good interpersonal skills
 Ability to work in a team environment
 Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
#nodegreerequired
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If youÂre excited about this role but your experience doesnÂt align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply Job! We Encourage You to Apply!Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.
Apply Now